Division of Biological Regulation and Oncology, Department of Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan.
Surgery. 2010 Jun;147(6):789-97. doi: 10.1016/j.surg.2009.11.019. Epub 2010 Jan 15.
The aim of this study was to investigate the effects of intracolonic capsaicin on colonic motility and defecation.
The effects of capsaicin (1, 2, 5, and 10 mg) administrated into the proximal colon on ileocolonic motility and defecation were studied in neurally intact dogs with or without various antagonists (atropine, hexamethonium, ondansetron, propranolol, and FK224), dogs with extrinsic denervation of an ileocolonic segment, and dogs with enterically isolated ileocolonic loops equipped with strain gauge force transducers.
Capsaicin at 5 and 10 mg evoked giant migrating contractions in a dose-independent manner, and it induced defecations with more than 90% probability in neurally intact dogs. These effects of capsaicin were abolished by atropine and hexamethonium. Ondansetron inhibited the capsaicin-induced increase in colonic motility but did not affect the induction of defecation. The other antagonists had no effect. In dogs with extrinsic denervation, capsaicin did not evoke giant migrating contractions in the colon but still induced defecation in 30-40% of experiments. In dogs with ileocolonic loops, capsaicin did not stimulate colonic motility nor induce defecation.
These results indicate that intracolonic capsaicin causes giant migrating contractions and defecation. Intact extrinsic innervation, continuity of the colon, and intraluminal contents were considered necessary for this effect.
本研究旨在探讨直肠内辣椒素对结肠运动和排便的影响。
在具有或不具有各种拮抗剂(阿托品、六烃季铵、昂丹司琼、普萘洛尔和 FK224)的神经完整狗、具有回盲肠段外神经切断的狗以及具有内置应变计力换能器的肠内隔离回盲肠环的狗中,研究了将辣椒素(1、2、5 和 10mg)给予近端结肠对回盲肠运动和排便的影响。
辣椒素在 5 和 10mg 时以剂量非依赖性方式引起巨移行收缩,并在神经完整的狗中引起超过 90%概率的排便。辣椒素的这些作用被阿托品和六烃季铵所消除。昂丹司琼抑制了辣椒素引起的结肠运动增加,但不影响排便的诱导。其他拮抗剂没有作用。在具有外神经切断的狗中,辣椒素不会在结肠中引起巨移行收缩,但仍在 30-40%的实验中引起排便。在具有回盲肠环的狗中,辣椒素既不会刺激结肠运动,也不会引起排便。
这些结果表明,直肠内辣椒素引起巨移行收缩和排便。完整的外神经支配、结肠的连续性和管腔内内容物被认为是这种作用所必需的。